<%-- 
    Document   : TerimaBarang
    Created on : 27-Nov-2013, 10:57:47
    Author     : Yohanes Beny P
--%>

<%@page contentType="text/html" pageEncoding="UTF-8"%>
<!DOCTYPE html>
<html>
    <head>
        <meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
        <title>Cabang - Terima Barang</title>
        <link href="../css/style.css" rel="stylesheet" type="text/css"/>
    </head>
    <body id="home">
        <div id="wrapper">
            <center>
                </br>
                <center><img src="../image/header.png" width="600" height="100"/></center>
                <h1 align='right'> <a href="../HomeCabang.jsp"><img src="../image/btn_home.png" width="100" height="40"/></a>
                    <a href="../FilterLogout"><img src="../image/logout.png" width="100" height="40"/></a></h1>
                <table>
                    <tr>
                        <td align="left" width="400"><h1><font color="white">Data Konsumen</font></h1></td>
                        <td align="left" width="400"><h1><font color="white">Data Barang</font></h1></td>
                    </tr>
                    <tr>
                        <td align="center">
                            <table><form action="../SimpanDataPengiriman" method="post">
                                    <tr>
                                        <td><h3>Nama Pengirim</h3></td>
                                        <td width="5"></td>
                                        <td><input type="text" class="field1" name="nama_peng"/></td>
                                    </tr>
                                    <tr>
                                        <td><h3>No.Tlp Pengirim</h3></td>
                                        <td width="5"></td>
                                        <td><input type="text" class="field1" name="tlp_peng"/></td>
                                    </tr>
                                    <tr>
                                        <td><h3>Alamat Pengirim</h3></td>
                                        <td width="5"></td>
                                        <td><textarea type="text" class="field2" name="almt_peng"></textarea></td>
                                    </tr>
                                    <tr>
                                        <td><h3>Nama Penerima</h3></td>
                                        <td width="5"></td>
                                        <td><input type="text" class="field1" name="nama_pene"/></td>
                                    </tr>
                                    <tr>
                                        <td><h3>Alamat Penerima</h3></td>
                                        <td width="5"></td>
                                        <td><textarea type="text" class="field2" name="almt_pene"></textarea></td>
                                    </tr>
                            </table>
                        </td>
                        <td align="center">
                            <table>
                                <tr>
                                    <td><h3>Tanggal Kirim</h3></td>
                                    <td width="5"></td>
                                    <td><input type="date" class="field1" name="tgl_kirim"/></td>
                                </tr>
                                <tr>
                                    <td><h3>Jenis Barang</h3></td>
                                    <td width="5"></td>
                                    <td><select name="jenis_brg" class="field1">
                                            <option value="1" selected="select">Makanan</option>
                                            <option value="2" selected="select">Pecah Belah</option>
                                            <option value="3" selected="select">Dokumen</option>
                                        </select></td>
                                </tr>
                                <tr>
                                    <td><h3>Bobot Barang (kilogram)</h3></td>
                                    <td width="5"></td>
                                    <td><input type="text" class="field3" name="bobot" width="100"/></td>
                                </tr>
                                <tr>
                                    <td><h3>Kantor cabang tujuan/terdekat</h3></td>
                                    <td width="5"></td>
                                    <td><select name="cab" class="field1">
                                            <option value="jkt" selected="select">Jakarta</option>
                                            <option value="jgj" selected="select">Yogyakarta</option>
                                            <option value="smg" selected="select">Semarang</option>
                                            <option value="sby" selected="select">Surabaya</option>
                                            <option value="bdg" selected="select">Bandung</option>
                                            <option value="lpg" selected="select">Lampung</option>
                                            <option value="mdn" selected="select">Medan</option>
                                            <option value="plb" selected="select">Palembang</option>
                                            <option value="dps" selected="select">Denpasar</option>
                                            <option value="lbk" selected="select">Lombok</option>
                                            <option value="jyp" selected="select">Jayapura</option>
                                            <option value="mks" selected="select">Makassar</option>
                                            <option value="man" selected="select">Manado</option>
                                        </select></td>
                                </tr>
                            </table>
                            </br>
                            <table>
                                <tr>
                                    <td><input type="submit" name="simpan" value="SIMPAN"/></form></td>
                                    <td><form action="TerimaBarang.jsp"><input type="submit" name="reset" value="RESET"/></form></td>
                                </tr>
                            </table>
                        </td>
                    </tr>
                </table>
            </center>
        </div>
    </body>
</html>
